Geffen School of Medicine, Department of Medicine, Division of Geriatrics, Los Angeles, CA, United States.
Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, Los Angeles, CA, United States.
Front Public Health. 2022 Apr 8;10:798779. doi: 10.3389/fpubh.2022.798779. eCollection 2022.
Disproportionately high COVID case and mortality rates in skilled nursing facilities (SNFs) have heightened interest in the role of Certified Nursing Aides (CNAs) in the care of residents living in SNFs. This policy brief will make recommendations for CNA training based on an examination of two sources of secondary data using descriptive statistics. From the first source of secondary data, 34% of CNAs report feeling inadequately trained. The second source, U.S. government data, revealed statistically significant negative correlations between the amount of CNA training required across states and COVID mortality rates (Kendall's τ = -0.32; = 0.002) but not case rates (Kendall's τ = -0.18; = 0.09). More training for CNAs may not only reduce health risks from infectious diseases but also improve how they relate to SNF residents during care.
在熟练护理设施（SNF）中，COVID 病例和死亡率高得不成比例，这使得人们对注册护士助理（CNA）在 SNF 居民护理中的作用产生了浓厚的兴趣。本政策简报将根据使用描述性统计数据对两份二级数据来源的审查，为 CNA 培训提出建议。从第一个二级数据来源中，34%的 CNA 报告感到培训不足。第二个来源，美国政府数据，显示了各州所需的 CNA 培训量与 COVID 死亡率之间存在统计学上显著的负相关关系（肯德尔τ=-0.32；p=0.002），但与病例率无关（肯德尔τ=-0.18；p=0.09）。对 CNA 进行更多培训不仅可以降低传染病带来的健康风险，还可以改善他们在护理过程中与 SNF 居民的关系。
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